Document Detail


Endovascular procedures and new insights in diabetic limb salvage.
MedLine Citation:
PMID:  22231527     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Critical limb ischemia (CLI) is affecting an increasing number of patients, mainly due to an ageing population and the growing number of diabetics. Clinically, CLI is characterized by rest pain, non-healing foot wounds and gangrene, due to insufficient arterial blood supply. Limb preservation should be the goal in patients with diabetic foot due to tibial occlusive disease. As surgery is associated with considerable morbidity and mortality rates, endovascular therapy can offer a valuable alternative. Small-diameter below-the-knee arteries that were previously unamenable to surgical methods, can now be reached and treated. Currently, many endovascular techniques are available, from regular PTA and bare metal stents to drug-coated balloons and drug-eluting stents. In our opinion the results of endovascular therapy for below-the-knee vessels will be further improved by the continuous technical evolution and new material developments. In the light of the current evolution towards minimally invasive techniques, an increasing number of experienced centers will be able to treat the vast majority of all below-the-knee arterial pathology by endovascular means.
Authors:
P Peeters; J Verbist; K Keirse; J Callaert; K Deloose; M Bosiers
Related Documents :
19540657 - Cerebral hemodynamics during coronary artery bypass graft surgery: the effect of caroti...
17599237 - The infra-optic course of the anterior cerebral arteries: an anatomic case report.
8229237 - Detection of postural cerebral hypoperfusion with technetium-99m-hmpao brain spect in p...
23569527 - Hepatic artery reconstruction with gonodal vein interposition: first case in patients r...
24390187 - Endovascular treatment for ruptured vertebral artery dissecting aneurysms: results from...
22206427 - Sequential structural and fluid dynamic numerical simulations of a stented bifurcated c...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  53     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  31-7     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular and Thoracic Surgery, Imelda Hospital, Bonheiden, Belgium - patrick.peeters@imelda.be.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Integrated surgical protocol for the treatment of the infected diabetic foot.
Next Document:  Pharmacological interventions on critical limb ischemia in diabetic patients.